Marine Trades and Business Enquiries..
You have a duty to provide complete and accurate information. Failure to disclose material information may invalidate cover and could mean part, or all, of a claim may not be paid. If in doubt disclose it anyway.
NOTE: * identifies a mandatory question, which must be answered to allow your enquiry to proceed
Personal details:
      Contact Name
 * 
Business Name *
Business Address
* 



Post Code
* 
Day Time Phone Number
* 
e-mail

Type of Business

 *
Year Established * 
Full Description of Business Activities
*
Current Insurance Details:
Current Insurer
Current Renewal Date
Details of any claims/ incidents or losses, or any convictions.
State if NONE
*
   

Terms of Business Agreement | Privacy Policy

created by BreezeMarine

Curtis Marine Insurance is the trading name of Curtis Marine Insurance Brokers Limited, which is Authorised and regulated by the Financial Services Authority. Registered in England & Wales.
Registered Number: 6465804. Registered Office: Plymouth Marine Centre, Pomphlett Quay, Billacombe Road, Plymouth, PL9 7HP.